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Dr. Melanie Renee Hanisch , DO

Pediatrics β€’ Owasso, OK

Active NPI 1073263653 Individual Practitioner Female Practitioner
Practice location in NPPES

12150 E 96th St N Ste 101
Owasso, OK 740555339

Call 9187165437 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12150 E 96th St N Ste 101

Owasso, OK 740555339

Telephone 9187165437
Organization at the Same NPPES Address or Phone
Osu Center For Health Sciences Facility NPI 1518655497

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Broken Arrow, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Owasso and Oklahoma

10 active clinicians are listed under Pediatrics with a practice address in Owasso, OK (707 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OK 8214

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Secondary Practice Locations

5795 S Elm Pl

Broken Arrow, OK 740114893

Phone: 9187165437

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 11, 2025

Registered at 12150 E 96TH ST N STE 101, OWASSO, OK 740555339 (Tel: 9187165437)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Pediatrics (license number reported to NPPES: OK 8214)

πŸ“
Updated Business Mailing Address December 18, 2024

Registered at 4030 E 43RD ST, TULSA, OK 741352745 (Tel: 7325514026)

πŸ‘€
Provider Name / Credentials Updated December 18, 2024

Recorded as MELANIE HANISCH, DO

βœ…
NPI Profile Active March 25, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 25, 2022

Registered at 717 S HOUSTON AVE, TULSA, OK 741279023 (Tel: 9183823178)

πŸ“
Business Mailing Address (Initial Record) March 25, 2022

Registered at 123 CANNON BLVD, JACKSON, NJ 085275112 (Tel: 7325514026)

πŸ‘€
Provider Name / Credentials (Initial Record) March 25, 2022

Recorded as MELANIE BENNETT, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 25, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073263653
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2022
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

4030 E 43rd St

Tulsa, OK 741352745

Phone: 7325514026

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.